- The Parliamentary and Health Service Ombudsman (PHSO) concluded that a knife attack by a man, later diagnosed with schizophrenia, could have been prevented with appropriate mental health care.
- The Kent and Medway NHS and Social Care Partnership Trust, now Kent and Medway Mental Health NHS Trust, was found responsible for a "series" of failings in the 12 months leading up to the November 2020 incident.
- These failings included poor care planning, discharging the patient without reviewing his risk level and a lack of in-person care during a crisis, which the PHSO believes contributed to his mental health decline.
- The investigation was initiated after the patient's mother repeatedly raised concerns about her son's deteriorating condition and the risks he posed, feeling unsupported by the trust.
- The Kent and Medway Mental Health NHS Trust has apologised for not meeting expected standards and confirmed they have taken action to strengthen community mental health services.
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